Fillable TENANT ESTOPPEL CERTIFICATE

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TENANT ESTOPPEL CERTIFICATE

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The TENANT ESTOPPEL CERTIFICATE form is 3 pages long and contains:

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  • 26 check-boxes
  • 48 other fields

Country of origin: OTHERS
File type: PDF

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Page 1 of 3
TENANT ESTOPPEL CERTIFICATE
Effective Date: _______________________, 20____
County of __________________}
State of __________________}
I. The Parties. This certificate pertains to the ☐ Fixed Lease Agreement ☐ Month-to-
Month Lease Agreement, referred to as the “Lease Agreement”, for the property located
at _____________________________ City of ______________________ State of
______________________ (“Property”) between ______________________________
(“Landlord”) and ______________________________ (“Tenant(s)”).
II. Property Type. The Property being leased is considered:
☐ - Commercial Space with the Tenant(s) renting ________ square feet.
☐ - Residential Space with the Tenant(s) renting a ____ bedroom(s) and ____
bathroom(s).
III. Modifications.
☐ - Not Modified and in Effect - The Lease Agreement has not been modified and is in
effect as originally written.
☐ - Modified and in Effect - The Lease Agreement was modified on the ____ of
_______________________, 20____.
IV. Subletting.
☐ - The Tenant(s) is not subletting any part of the Property.
☐ - The Tenant(s) is subletting ☐ part of ☐ all of the Property.
V. Lease Term.
☐ - The Month-to-Month Lease Agreement began on the ____ of
_______________________, 20____.
☐ - The Fixed Lease Agreement is a total length of ____ year(s), ____ month(s) ending
on the ____ of _______________________, 20____.
Page 2 of 3
VI. Monthly Rent.
The amount of the monthly rent is $______________ per month.
In addition to the monthly rent, the Tenant(s) ☐ does not pay any other fees to the
Landlord ☐ pays $______________ for ______________________.
VII. Last Rental Payment.
The last rental payment made by the Tenant(s) to the Landlord was on the ____ of
_______________________, 20____.
VIII. Future Rent.
☐ - The Tenant(s) has not prepaid any future rent.
☐ - The Tenant(s) has paid future rent in the amount of $______________ paid through
the ____ of _______________________, 20____.
IX. Security Deposit.
The Landlord is holding a security deposit of $______________ to cover any expenses
or losses by any default or breach of the Lease Agreement by the Tenant(s).
X. Personal Property.
☐ - There is no personal property that is owned by the Landlord and in possession of
the Tenant(s).
☐ - Personal property that is owned by the Landlord and is in possession of the
Tenant(s) is ___________________________________________________________.
XI. Rights to Purchase the Property.
☐ - The Tenant(s) does not hold any rights to purchase the property including but not
limited to rights of first refusal, option to purchase, etc.
☐ - The Tenant(s) hold the following rights to purchase the property _______________
_____________________________________________________________________.
XII. Repairs and Maintenance.
☐ - The Landlord has made all necessary repairs and the property is properly
maintained.
Page 3 of 3
☐ - The Landlord has not made all the necessary repairs to the property including but
not limited to: __________________________________________________________.
XIII. Default or Breach of Agreement.
☐ - The Landlord or Tenant(s) has not breached or defaulted on the Lease Agreement.
☐ - The Landlord or Tenant(s) has breached or defaulted the Lease Agreement by
doing the following ___________________________________________________ and
☐ the breach or default has been cured ☐ the breach or default has not been cured.
XIV. Liens and Encumbrances.
I/We certify as the Tenant(s) that there are no liens or encumbrances attached to the
leasehold interest of the property. Tenant(s) understands that this certificate will be
considered valid by any third (3
rd
) party.
Signature _____________________ Date ___________
CERTIFICATE OF ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the
identity of the individual who signed the document to which the certificate is
attached, and not the truthfulness, accuracy, or validity of that document.
State of ______________
County of ______________
On ____________________, 20____, before me, ____________________________,
a Notary Public in and for the State of State, personally appeared
______________________________________________________________________
who proved to me on the basis of satisfactory evidence to be the person(s) whose
name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument. I certify under PENALTY OF
PERJURY under the laws of the State of ______________ that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
Signature _______________________________________
My Commission Expires _______________________________________
(Seal)
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TENANT ESTOPPEL CERTIFICATE

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Completed 15 November 2021

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